# MY MD GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811121916
- **Authorized official:** DR. NIVEDITA SHARMA M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (732) 901-8880

## Contact information

- **Practice address:** 19 N COUNTY LINE RD, JACKSON, NJ 08527-1255
- **Practice address phone:** (732) 901-8880
- **Practice address fax:** (732) 901-0882
- **Mailing address:** PO BOX 172, MANALAPAN, NJ 07726-0172
- **Mailing address phone:** (732) 901-8880
- **Mailing address fax:** (732) 901-0882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MA07276900 | NJ | Yes |

## Other

- **Enumeration date:** 05/05/2009
- **Last updated:** 02/25/2011
